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c� � �^�� <br /> Total Fee: $ 9�S 5� Date Received: �! ��G�� <br /> Entered By: Permit#: � Q `7 Z � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print crl!informat�on) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SIT�ADDRESS: I�-�,v� � � � l(L- ZIP: SS��1--� <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �10 /fyes, a special event per•n�it is r•equired tivith Police Departrnent and City Coarncil appr•oval <br /> 60 dcrys prior to d�e event. Shidtle bus service�a�ill be�-equirea'unless app/icant de�nonstrates <br /> sa fficient on-site parking is avnllable. Non-permitted evenls�vi(l not be a/lowed. <br /> NAME OF OWNER: i-'�� � �+'���ONE: (home)�SZ� �-�l�Z���;,�,� <br /> (•�vork) <br /> MAILING ADDR�SS: ��-i��� -P 1�� � �'�- CITY: `� �'`�%��w ZIP: c>S� <br /> CONTRACTOR: 5��� �� y��`l�-ti C�t,-1 V ��ONE: �352 ' �--(��� `-'�`�Co� <br /> CONTACT PERSON: �4�K� J i,�-<;DiA-�.MOBILE/PAGER: `�S2 : Z2�- �{��( <br /> MAILING ADDRESS: ��?� �v� ,�'�� �D CITY: C ,ZIP: S S3 t� <br /> STATE LICENSE: # ��� EXPIRATION DATE: � � � � O�- <br /> ARCHITECT/ENGINEER: PSONE: <br /> .M_AiT i�r�11�1lRFSS: [�'TT�, 7I1_': <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move I-(ome RemodeUAlteration (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOS�D WORK(describe in detain: f�-�v�t,� ��_ �' -'�-1-1�'-�E-x� <br /> �M'V�L7`Z� 4��/.,�`.�rt'11N�� -P l'VV -a- �F iA��F'~-'f'1 Tl t71ti.� i.V �1�1ti_ <br /> t�-�-c��=�_ Y..�a v� �u�.� ���--� t� �tiA'�� <br /> STORIES: y SQ.FEET OF EACH FLOOR: t,v`- <br /> NO. OF BEllROOMS: GARAGE STALLS: ATTACH�D DETACHED �`�c.��'� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding lancl): $ �� , ��� <br /> I hereby apply for a building pennit and I acknowledge that tl�e information above is complete and accurate; <br /> that tlle work will be in conformance with the ordinances and codes of the City and wit11 the State B�iilding <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APYLICANT'S SIGNATU DAT�: ' -l ' �� <br /> 31 <br />